The effectiveness of obstetric gel application in shortening labor duration and preserving vaginal perineal integrity: prospective observational study

Authors : Derya BURKANKULU, Özlem MORALOĞLU TEKİN, Sevgi KOÇ, Ayça Nazlı BULUT

Pages : 1723-1729

Doi:10.38136/jgon.1192217

View : 58 | Download : 87

Publication Date : 2023-07-03

Article Type : Research Paper

Abstract :Aim: The aim of this study to determine the effects of obstetric gel application on labor outcomes. Materials and Method: This nonrandomized controlled study was carried out between January 2019 and June 2019 in a tertiary-care hospital. Nulliparous pregnant women with low risk, vertex position, between the ages of 16-40 years, with an estimated fetal weight of 2500-4000 grams and a gestational week between 37-41 weeks were included in the study. Using an applicator, 3-5 ml of a hydroxyethyl cellulose gel was applied to the vaginal canal of the study group insert ignore into journalissuearticles values(n=142); at the first stage of labor insert ignore into journalissuearticles values(before 5 cm cervical opening);. The procedure was repeated every two hours until the birth of the baby. The control group insert ignore into journalissuearticles values(n=191); received standard antenatal care. Results: The need for episiotomy was significantly lower in the study group compared to the control group insert ignore into journalissuearticles values(n=72 insert ignore into journalissuearticles values(50.7%); vs. n=175 insert ignore into journalissuearticles values(91.6%);); insert ignore into journalissuearticles values(Z=18.902, p<0.001);. Moreover, it was found that women in the study group had significantly better outcomes concerning the preservation of the vaginal perineal integrity insert ignore into journalissuearticles values(n=53 insert ignore into journalissuearticles values(37.3%); vs. n=160 insert ignore into journalissuearticles values(83.7%);); insert ignore into journalissuearticles values(Z=134.893, P<0.001);. Also, significant shortening was observed in the second stage of labor in the study group compared to the control group insert ignore into journalissuearticles values(36.6834.37 min vs. 58.0330.35 min); insert ignore into journalissuearticles values(p<0.001);. Conclusion: The use of obstetric gel shortens the first and second stages of labor, reduces the need for episiotomy, and helps preserve perineal integrity. Thus, it can be cost-effective and contribute positively to life quality if administered in nulliparous normal vaginal deliveries
Keywords : Doğum, Perine bütünlüğü, ikinci aşama

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